CHARLES EVANS CENTER, INC (NPI# 1770142366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770142366 |
| Entity Type | Organization |
| Organization Name | CHARLES EVANS CENTER, INC |
| Practice Address |
113 Glen Cove Ave Glen Cove NY 11542-3438 |
| Practice Telephone | 5166762388 |
| Practice Fax Number | 5167595240 |
| Mailing Telephone | 5166762388 |
| Mailing Fax Number | 5166762388 |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-07 |
| Authorized Official Name | MARY CODY (BILLING MANAGER) |
| Authorized Official Telephone | 5166762388 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598299356 | Charles Evans Center, Inc | Clinic/Center | 305 Oser Ave, Hauppauge, NY 11788-3607 | 2017-04-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CHARLES EVANS CENTER, INC. | 857 South Oyster Bay Road, Bethpage, Ny 11714 |
| Street Address |
113 GLEN COVE AVE |
| City | GLEN COVE |
| State | NY |
| Zip Code | 11542-3438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043308190 | Daniel Giedt | Nurse Practitioner | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2006-10-11 |
| 1245858570 | Anne Castelluzzo | Counselor | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2020-07-13 |
| 1386262384 | Elizabeth Borriello | Art Therapist | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2020-07-07 |
| 1225654239 | Brandi Merryl Bell | Social Worker | 113 Glen Cove Ave, Glen Cove, NY 11542 | 2020-06-25 |
| 1346862968 | Jessica Ancona-neis | Art Therapist | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2020-05-18 |
| 1124660782 | Doris Wade | Licensed Practical Nurse | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2019-10-15 |
| 1033751797 | Stephanie Caceres | Counselor | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2019-10-15 |
| 1023650686 | Ashley Mccusker | Counselor | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2019-10-15 |
| 1770133050 | Anna-karin Demirciyan | Counselor | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2019-09-18 |
| 1871143149 | Christine Bell | Art Therapist | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2019-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104468461 | Yvonne N Valcourt | Registered Nurse | 14 Burns Ave, Glen Cove, NY 11542 | 2019-10-08 |
| 1508419771 | Gregory Stephen Bonistalli | Audiologist | 70 Glen St Ste 100, Glen Cove, NY 11542 | 2019-07-17 |
| 1861954646 | Pulkit Malik | Student in an Organized Health Care Education/Training Program | Northwell Health Glen Cove Hospital, 101 St. Andrews Lane, Glen Cove, NY 11542 | 2019-04-02 |
| 1912498783 | Rays of Light Companion Care Agency LLC | Long Term Care Hospital | 70 Forest Ave # 2g, Glen Cove, NY 11542 | 2018-05-28 |
| 1164978391 | Nithin Kuruvilla | Pharmacist | 421 Glen Cove Road, East Hills, NY 11542 | 2016-08-28 |
| 1063879245 | Kerri A Sujeski | Physician Assistant | 104 Forest Avenue, Glen Cove, NY 11542 | 2016-01-19 |
| 1093110884 | Sherri Meagher | Social Worker | 130 Glen Street, Glen Cove, NY 11542 | 2014-10-23 |
| 1174946537 | Lori Seele | Psychologist | Ridge Drive, Connolly Elementary School, Glen Cove, NY 11542 | 2014-01-21 |
| 1255671210 | Wendy S Grossman | Speech-Language Pathologist | 2 Dosoris Lane, Deasy School Glen Cove School District, Glen Cove, NY 11542 | 2013-02-27 |
| 1033459318 | Kristin Strelec | Social Worker | Seaman & Walnut Roads, Gribbin School Glen Cove School District, Glen Cove, NY 11542 | 2013-02-22 |
| Find all providers in zip 11542 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346565256 | Medical Care of L.i., P.c | Clinic/Center | 15 Glen St, Ste 304, Glen Cove, NY 11542-2782 | 2010-04-03 |
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|---|---|---|---|---|
| 1992306674 | Therapeutic Sanctuary Counseling & Play Therapy Center | Clinic/Center | 3960 Harlem Rd Ste 13, Amherst, NY 14226-4746 | 2020-11-08 |
| 1093316564 | Access Mental Health Counseling, Pllc | Clinic/Center | 10 James Ave, East Norwich, NY 11732-1219 | 2020-11-02 |
| 1700487378 | Listening Ear Counseling and Therapy | Clinic/Center | 36 Watergate Dr, Amawalk, NY 10501-1107 | 2020-11-02 |
| 1154929123 | Culture of Wellness, LLC | Clinic/Center | 31 W 34th St # 7058, New York, NY 10001-3009 | 2020-10-13 |
| 1942807276 | Jason Diana Lmsw | Clinic/Center | 50 West Hawthorne Ave 2nd Floor, Valley Stream, NY 11580 | 2020-10-09 |
| 1801493366 | Child and Family Psychological Services | Clinic/Center | 521 Route 111 Ste 202, Hauppauge, NY 11788-4358 | 2020-10-07 |
| 1962015248 | Melissa Gottlieb | Clinic/Center | 285 Livingston St Fl 1, Brooklyn, NY 11217-1006 | 2020-08-26 |
| 1235749409 | Wong Thies Psychology, Pllc | Clinic/Center | 11050 71st Rd Ste 1m, Forest Hills, NY 11375-4972 | 2020-08-03 |
| 1316557606 | Calm Mind Psychiatric Np Services of The Finger Lakes Pllc | Clinic/Center | 840 Hanshaw Rd Ste 9, Ithaca, NY 14850-1589 | 2020-08-03 |
| 1023626678 | Ra Psychiatric Np Services Pllc | Clinic/Center | 2722 Hering Ave, Bronx, NY 10469-5321 | 2020-07-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.